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General NPI Number Information
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NPI Number | 1477721744
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Entity Type | Organization
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Legal Business Name | PAUL SAKS DPM,PA
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 415 AVENEL ST STE B
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City | AVENEL
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State | NJ
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Zip | 07001-1147
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Country | US
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Telephone | 732-634-4300
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Fax | 732-634-4302
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Provider Business Mailing Address
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Address Line | 415 AVENEL ST STE B
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City | AVENEL
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State | NJ
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Zip | 07001-1147
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Country | US
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Telephone | 732-634-4300
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Fax | 732-634-4302
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL SAKS
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Credential | DPM PA
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Telephone | 732-299-7659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00112700
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License Number State | NJ
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